Active NPI
Gateway Hospice Providers LLC
- Community Based Hospice Care Agency
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GATEWAY HOSPICE PROVIDERS LLC
- Practice address
- 821 SW Alsbury Blvd Unit a
Burleson, TX 76028-4090 - Phone
- (682) 499-6669
- NPI assigned
- Jul 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon Bayles
- Title
- Owner
- Phone
- (682) 499-6669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
821 SW Alsbury Blvd Unit a
Burleson, TX 76028-4090
Mailing address
821 SW Alsbury Blvd Unit a
Burleson, TX 76028-4090
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 6824996669 | ||
| Direct Messaging Address | admin@gateway-hospice.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210204003160 | TX | Part A Provider - Hospice | 2264846062 | Practice locations: Burleson, TX |
Hospice certification: CCN 971641
- Legal name
- GATEWAY HOSPICE PROVIDERS LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 28, 2021
- Last certification
- Apr 28, 2021
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Enrollment address
- 821 SW Alsbury Blvd
Unit a
Burleson, TX 76028-4090
Care Compare: Hospice
Medicare Care Compare- Listed as
- Gateway Hospice Providers, LLC
- Ownership
- For-Profit
- Certified
- Apr 28, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2200250 | Gateway Hospice Providers, LLC | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
821 SW Alsbury Blvd
Unit A
Burleson, TX 76028
Phone (682) 449-6669
140 W Eldred St
Burleson, TX 76028
Phone (817) 888-5374
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Amy Moyer-Stoy | W-2 Managing Employee | Apr 30, 2024 | |
| Brandon Joe Bayles | 5% Or Greater Direct Ownership Interest | Jun 3, 2020 | 50% |
| Corporate Officer | Jun 3, 2020 | ||
| W-2 Managing Employee | Jun 3, 2020 | ||
| Melanie Jane Gray | Contracted Managing Employee | Nov 5, 2020 | |
| Samuel James Adrignola | 5% Or Greater Direct Ownership Interest | Jun 3, 2020 | 50% |
| Corporate Officer | Jun 3, 2020 | ||
| W-2 Managing Employee | Jun 3, 2020 | ||
| Misty Hightower | W-2 Managing Employee | Aug 17, 2020 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bedford, TX
- NPI 1396192704
-
- Physical Therapist
- Fort Worth, TX
- NPI 1780203539
-
- Physical Therapist
- Burleson, TX
- NPI 1215633482
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1124636386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SW ALSBURY BLVD UNIT A",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SW ALSBURY BLVD UNIT A",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284090",
"telephone_number": "682-499-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY HOSPICE PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-14",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "BAYLES",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-499-6669",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "6824996669",
"affiliation": "N",
"address_1": "821 SW Alsbury Blvd Unit A",
"city": "Burleson",
"state": "TX",
"country_code": "US",
"postal_code": "760284090",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@gateway-hospice.com",
"affiliation": "N",
"address_1": "821 SW Alsbury Blvd Unit A",
"city": "Burleson",
"state": "TX",
"country_code": "US",
"postal_code": "760284090",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.